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• W3188889147 abstract "You have accessJournal of UrologyProstate Cancer: Detection & Screening III (MP30)1 Sep 2021MP30-08 BARRIERS TO ADOPTION AND IMPLEMENTATION OF TRANSPERINEAL PROSTATE BIOPSY UNDER LOCAL ANESTHESIA Richard C. Wu, Arvin George, Stephanie Ferrante, Ji Qi, John T. Wei, Lindsay Herrel, John M. DiBianco, Brian Stork, Rene Frontera, Jay D. Raman, Serge Ginzburg, Amit Patel, and Craig G. Rogers Richard C. WuRichard C. Wu More articles by this author , Arvin GeorgeArvin George More articles by this author , Stephanie FerranteStephanie Ferrante More articles by this author , Ji QiJi Qi More articles by this author , John T. WeiJohn T. Wei More articles by this author , Lindsay HerrelLindsay Herrel More articles by this author , John M. DiBiancoJohn M. DiBianco More articles by this author , Brian StorkBrian Stork More articles by this author , Rene FronteraRene Frontera More articles by this author , Jay D. RamanJay D. Raman More articles by this author , Serge GinzburgSerge Ginzburg More articles by this author , Amit PatelAmit Patel More articles by this author , and Craig G. RogersCraig G. Rogers More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002027.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Despite the clinical advantages and renewed interest in transperineal prostate biopsy (TPBx), its uptake has been limited. A number of factors may pose unique challenges to TPBx implementation. We aimed to assess adoption, attitudes, and barriers to implementation of real-world TPBx under local anesthesia. METHODS: Providers from the Michigan Urological Surgery Improvement Collaborative (MUSIC) and Pennsylvania Urologic Regional Collaborative (PURC) were administered an anonymous tiered online survey to assess beliefs and educational needs regarding TPBx. The survey included provider/practice demographics. Providers were divided into 2 groups, those who performed or did not perform TPBx under local anesthesia. The MUSIC registry was queried to understand practices patterns since introduction of freehand TPBx in the collaborative. We reported results using descriptive analytics and bivariate analysis to determine associations between provider/practice demographics and attitudes regarding TPBx. RESULTS: Since 2019, adoption has increased 3-fold to 29.8% and 10.4% in MUSIC practices performing TPBx and across all practices respectively (Fig 1). The overall response rate was 32%. 91 complete responses were analyzed with 23% performing TPBx. The provider estimated learning curve was <10 procedures in both those performing and not performing TPBx and this was not associated with provider age, experience, practice setting (academic vs. community), or biopsy volume. TPBx was most commonly performed using direct skin puncture (38.1%) or a TPBx access device (33.3%). The major perceived benefits were similar between groups and included decreased risk of sepsis, improved cancer detection rate and antibiotic stewardship. The 2 most common cited challenges to implementation included access to equipment and patient pain/experience for both groups. Urologists performing TPBx cited the learning curve as an additional barrier, while those not performing TPBx cited duration of procedure. CONCLUSIONS: Access to equipment and patient experience concerns remain substantial barriers to adoption of TPBx. Dissemination of techniques utilizing existing equipment and optimization of local anesthetic protocols for TPBx may help facilitate the continued adoption of TPBx. Source of Funding: Blue Cross Blue Shield of Michigan © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e502-e502 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Richard C. Wu More articles by this author Arvin George More articles by this author Stephanie Ferrante More articles by this author Ji Qi More articles by this author John T. Wei More articles by this author Lindsay Herrel More articles by this author John M. DiBianco More articles by this author Brian Stork More articles by this author Rene Frontera More articles by this author Jay D. Raman More articles by this author Serge Ginzburg More articles by this author Amit Patel More articles by this author Craig G. Rogers More articles by this author Expand All Advertisement Loading ..." @default.
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• W3188889147 title "MP30-08 BARRIERS TO ADOPTION AND IMPLEMENTATION OF TRANSPERINEAL PROSTATE BIOPSY UNDER LOCAL ANESTHESIA" @default.
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